Background: Malaria is a major public health problem and cause of much suffering and premature death in the poorer areas of tropical Africa, Asia and Latin America. This study investigated the incidence of malaria parasites among symptomatic patients in 44 Nigerian Army Reference Hospital, Kaduna State. Method: 100 blood samples were collected from patients attending 44NARHK. A thick and thin film were made using these samples and then stained using the 10% giemsa solution and then viewed under the microscope. Questionnaires were distributed to patients in order to identify the risk factors that makes the plasmodium specie thrive in the human body. Results: A total number of 100 blood samples were collected from patients who showed symptoms of malaria and was tested using the microscopic examination of blood. Of the 100 samples that were examined, 23 were positive giving an incidence rate of 23%. The incidence of malaria parasites among the patients was significantly associated with gender; females had the highest incidence of 56.5%, the age group of 19-30years had an incidence rate of 43% and the genotype AA also had the highest incidence of 73.9%. Conclusion: This study has demonstrated the incidence of malaria parasite in patient who showed symptoms like fever/headache, also the geographical location and environmental condition of patients contributes to breeding of the malaria vector. Hence, the study recommends that more work be done on the vector and the parasites.