Immune activation has been proved as a significant contributing factor to HIV disease progression. Serum hs-CRP increase and albumin decrease in HIV infected individuals as a response of immune activation through cytokines. In this study we estimated serum hs-CRP and albumin levels and hs- CRP /Albumin ratio in HIV seropositive and control groups. This is a case control study having 40 HIV patients with age, sex matched 40 controls. In our study we observed statistically significant difference in serum hs-CRP, albumin and hs-CRP /Albumin ratio in HIV seropositive compared to control group (p<0.001).This made us to propose that serum hs-CRP , albumin and hs CRP /Albumin ratio can be used as prudent prognostic markers in HIV infection and predictor of mortality.