The presence of 226 Ra in water is a great concern in human life since it can cause health risk to a certain extent. In the state of Kelantan, being known of its granitic area, there is a lack measurement of 226 Ra content in river water, since water is the major source of water supply. According to the INTERIM National Water Quality Standards for Malaysia (INWQS), 226 Ra activity concentration in water cannot exceed 0.1 Bq/L. For this reasons, this research was planned to carry out a systematic measurement of water along Sungai Kelantan. Liquid Scintillation Counting was used for measurement of 226 Ra in water samples from Sungai Kelantan mainly in district of Kuala Krai. In this paper, the results obtained is about 26 water samples, filtered and unfiltered, collected along Sungai Lebir, Sungai Sok and Bukit Sabah. Thus, the assessment activity concentration of 226 Ra in river water was obtained as well as annual effective dose for consumption of drinking water.