Get time in milliseconds using C#

long milliseconds = DateTime.Now.Ticks / TimeSpan.TicksPerMillisecond;

This is actually how the various Unix conversion methods are implemented in the DateTimeOffset class (.NET Framework 4.6+, .NET Standard 1.3+):

long milliseconds = DateTimeOffset.Now.ToUnixTimeMilliseconds();

Use the Stopwatch class.

Provides a set of methods and properties that you can use to accurately measure elapsed time.

There is some good info on implementing it here:

Performance Tests: Precise Run Time Measurements with System.Diagnostics.Stopwatch

The DateTime.Ticks property gets the number of ticks that represent the date and time.

10,000 Ticks is a millisecond (10,000,000 ticks per second).