Hi

The Nth match is the 4th parameter. So your formula would be

=MLOOKUP(T$2:T$228,A7,S$2:S$228,TRUE,ROWS($Q$7:Q7) )

or Nth match by omitting the Number as text

=MLOOKUP(T$2:T$228,A7,S$2:S$228,,ROWS($Q$7:Q7))