punch

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Related to pleased as Punch: tickled pink

punch

(pŭnch),
An instrument for making a hole or indentation in some solid material or for driving out a foreign body in such material.
[L. pungo, pp. punctus, to stick, to punch]
Farlex Partner Medical Dictionary © Farlex 2012

punch

An instrument for making a small circular hole in material or tissue, esp. the skin.
Medical Dictionary, © 2009 Farlex and Partners
References in periodicals archive ?
YOUNGSTERS were as pleased as Punch to be treated to a traditional puppet show.
Under any other circumstance, you might be pleased as punch to learn you had a much larger estate than you thought you did.
Herrera reluctantly descends from a number of what must be record-setting balances, and she looks pleased as Punch doing so.