Replace x in the function with x+h for the first term, then just x (so it's the same function) and divide the whole thing by h.
f(x+h) = 2(x+h)-3 and f(x) = 2x-3. The numerator is:
2(x+h)-3-(2x-3) = 2x + 2h -3 -2x +3 = 2h.
The whole fraction is then 2h/h = 2.
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