Allaahumma aafinee fee badanee, Allaahumma aafinee fee sam ee, Allaahumma aafinee fee basaree, laa ilaaha illaa Anta. Allaahumma innee a oothu bika minal-kufri, walfaqri, wa a oothu bika min athaabil-qabri, laa ilaaha illaa Anta.
O Allah, make me healthy in my body. O Allah, preserve for me my hearing. O Allah, preserve for me my sight. There is none worthy of worship but You. O Allah, I seek refuge in You from disbelief and poverty and I seek refuge in You from the punishment of the grave. There is none worthy of worship but You.
Abu Dawud 4/324, Ahmad 5/42, An-Nasa i, Amalul-Yawm wal-Laylah (no. 22), Ibn As-Sunni (no. 69), Al-Bukhari Al- Adab Al-Mufrad. Its chain of transmission is good (Hasan), Ibn Baz, p. 26.