If the image is a Bitmap you could use the Bitmap.GetPixel method.
Place a Transparent Panel over the image and use Touch Event to get the co-ordinates .
Just be sure the panel is resized to match image size.
Private Sub Panel1_Touch (Action As Int, X As Float, Y As Float)
GetPixelColour(X, Y)
End Sub
Private Sub GetPixelColour(x As Int, y As Int)
Dim pixel As Int = bmpTestImage.GetPixel(x, y)
Label1.Color = pixel
'............
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A basic example is attached ...