She served in India for 47 years .
Dr. Anna Sarah Kugler ( 19 April 1856 -- 26 July 1930 ) was the first medical missionary of the Evangelical Lutheran General Synod of the United States of North America .
Anna Sarah Kugler served in India for 47 years .
Dr. Anna Sarah Kugler ( 19 April 1856 -- 26 July 1930 ) was the first medical missionary of the Evangelical Lutheran General Synod of the United States of North America .