For this table, it is fine if you add a column as IDENTITY (1, 1) and define it as a primary key. It'll be a 4-byte key.

It appears that the combination of the two columns is unique, so the other possibility is to define a natural key using the combination of the two columns. This would be called a composite key because it contains more than one column. There is great debate between using artificial keys and natural keys and I'm not trying to ignite a debate. Ami Levin has a chapter on the debate in "SQL Server Deep Dives Volume 2" and it covers both sides to the argument.

What matters in the decision here is the overall design of the table, the uniqueness of the columns and if the values are ever-increasing. If you add more columns to this table and add nonclustered indexes to them, all nonclustered indexes inherit the values of the clustered index, which increases the size, so you'd want the size of the clustered index to be as narrow as possible. If you add an artificial primary key and the two columns are unique, you should also consider adding a unique constraint to the two columns.

I know I've thrown out a lot of theory here, but as with so very many things, "it depends" strikes again.