Note: I am editing my answer according to your last edits
If you are using Robotjs, check that its Bitmap object contains a Buffer to raw pixels data -- not a PNG or any other file format contents, just pixels next to each other (exactly 200 x 200 elements in your case).
I have not found any function to write contents in other format in the Robotjs library (not that I know it either), so in this answer I am using a different library, Jimp, for the image manipulation.
let robot = require("robotjs")
let fs = require('fs')
let Jimp = require('jimp')
let size = 200
let rimg = robot.screen.capture(0, 0, size, size)
let path = 'myfile.png'
// Create a new blank image, same size as Robotjs' one
let jimg = new Jimp(size, size);
for (var x=0; x<size; x++) {
for (var y=0; y<size; y++) {
// hex is a string, rrggbb format
var hex = rimg.colorAt(x, y);
// Jimp expects an Int, with RGBA data,
// so add FF as 'full opaque' to RGB color
var num = parseInt(hex+"ff", 16)
// Set pixel manually
jimg.setPixelColor(num, x, y);
}
}
jimg.write(path)
Note that the conversion is done by manually iterating through all pixels; this is slow in JS. Also there are some details on how each library handles their pixel format, so some manipulation was needed in the loop -- it should be clear from the embedded comments.