Exosomes as new biomarkers for cancer diagnosis have attracted attention because they are highly released by tumor cells in various biological uids. In this study, an electrochemical paper-based immunosensor device (Exo-sensing paper) is introduced for the detection of exosome in the serum. The Exo-sensing paper is a three electrode system that is prepared using pattern paper and carbon and silver inks. The sensor part of this immunosensor contains a three-dimensional porous nanocomposite of nickel nanofoam coupled with graphene oxide and gold nanoparticles. The high speci c surface area of this nanocomposite increases the antibody loading on the sensor surface signi cantly and consequently leads to obtaining a wide linear range of 500-1 × 10 7 Exospore/µL with a detection limit of 110 Exosome/µL. Due to some advantages of this constructed Exo-sensing paper such as easy storage, simple application, low cost and good selectivity in the real samples, this system has a good potential to be used as a point of care testing for in situ detection of the exosomes and is a promising strategy for minimally invasive liquid biopsy.