The counselling usually takes place at Govt. Omandurar Medical College, but there have been plans of making it online.

Here's how counselling usually takes place:

• You will be given a tentative time slot for your rank. For example, if you come under state rank 1–500, your time slot will be from 9 AM to 11 AM, and so on.
• You will wait in the tent until your time slot. 
• Screens inside the tent display the number of seats available in each college and the students who have been alloted to each college.
• When your time slot comes, you will be given an ID card and will be allowed to take 1 parent inside. 
• Once inside, there will be an IOB (Indian Overseas Bank) to take a DD to pay for counselling fees.
• You continue to wait until they call out your rank. Usually they call 10–20 ranks at a time. 
• Once inside the counselling hall, you will be given a form to fill the basic details (name, contact, etc). 
• The parents are seated separately. You must carry your folder containing all documents. 
• For document verification you will be called to a table where government officers sit and scrutinize every single document. 
• Once you submit the copies of the original documents, show the originals and answer their questions, you will be stamped clear for college selection.
• After all this, you will be directed to a person who will lock your college when the time comes. 
• You tell them what college you choose and when your rank comes they lock your college. 

But counselling does not end here. For post counselling formalities, you will be given a receipt. You have to go to another room where they stamp that receipt. You have to pay the fees in the counselling hall itself. Again you go to the IOB counter, get a DD for the fees specified and produce the DD at another counter, where they give you an admit card. 

You have to report at your college within 3 days. If you are from a CBSE or ICSE school, you have to get an eligibility certificate from MGR Medical University showing your admit card there. To avoid the crowd reach as early as possible.