There is a libfluidsynth library available for Fossapup64. But is also a 'series 2' version. Not currently running Fossapup64, I entered libfluidsynth.so in the Search Box offered by pkgs.org. That found nothing relevant. But reducing the search term to just "libfluidsynth" provided this link, https://ubuntu.pkgs.org/20.04/ubuntu-un ... 4.deb.html. Doing the same in PPM's search box may reveal the same result. In fact, better. Later versions of a library are often backward compatible. But your system doesn't know that. However, The deb obtained from fossapup64's repository MAY contain a Symbolic link enabling your to avoid the work need to create one. See below.
Left clicking a 'deb' will install it. But information on the referenced link reveals that the deb offered would install libfluidsynth.so.2.3.1 to /usr/lib/x86_64-linux-gnu/. Only debian and Ubuntu place libraries in folders named 'x86_64-linux-gnu'. Puppys can't find such folders. On Puppys a symbolic link with that name will redirect activity to the respective parent folders /lib, /usr/lib or /usr/local/lib. But I'm not sure that works. So after installing the deb (and restarting-x to have Puppy re-catalog what's now installed) run pfind with the search term "libfluidsynth" to make sure it's been written to /usr/lib. If not, move it. [You could also move it to /root/my-applications/lib. Its a folder unique to Puppys which, obviously, Puppys are designed to find and use]. If there was a symbolic link named libfluidsynth.so.1 in the package, move that as well. The following won't be necessary.
Once libfluidsynth.so.2.3.1 is in a folder Puppy can find, you can tell Puppy to use it. You do this by creating a symbolic link. Open a terminal (Right-Click and empty space > terminal here) in its folder and enter the command:
ln -s libfluidsynth.so.2.3.1 libfluidsynth.so.1
Translating the above to provide an understandable 'general rule':
ln (link) -s (symbolic) file-you-have file-puppy-looks for.
By the way, as fonts can be confusing, the 'l' in ln is a small 'l' as in link, not the number 1 or a capital "L" or capital "I".