PUNCTIO

\pˈʌŋktɪˌə͡ʊ], \pˈʌŋktɪˌə‍ʊ], \p_ˈʌ_ŋ_k_t_ɪ__ˌəʊ]\
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1920 - A practical medical dictionary.
By Stedman, Thomas Lathrop
 
1846 - Medical lexicon: a dictionary of medical science
By Robley Dunglison