* Year: The cutoff rank changes every year depending on the difficulty of the entrance exam, the number of applicants, and the number of available seats.
* State: Each state in India (and other countries) has its own medical entrance exam and different numbers of government medical colleges and seats. Cutoff ranks vary wildly between states.
* Category: Reservations for different categories (e.g., Scheduled Castes, Scheduled Tribes, Other Backward Classes) significantly impact the cutoff rank. The last rank for a general category candidate will be much higher than for a reserved category candidate.
* College: Even within a state, the prestige and location of a government medical college affect its cutoff rank. More prestigious colleges have much higher cutoff ranks.
To find the last rank for a specific government medical college, you'd need to look at the official results published by the relevant state medical entrance exam authority after the admission process is complete for that particular year. These results are usually available on the respective state's medical education website or the exam conducting body's website.