Prepare tofu as desired, and set aside.
In a wok or large pan, heat sesame oil and sauté the bottom portion of the baby bok choy until slightly tender.
Add garlic, the remaining baby bok choy, shiitake mushrooms, miso paste, and soy sauce. Continue cooking until mushrooms begin to get tender.
Add water and prepared tofu and bring to a low boil.
Place uncooked ramen into the water. Continue boiling until ramen is done, stirring occasionally and letting the ramen absorb the broth.
Top with black sesame seeds, cilantro (Chinese parsley) or green onion. Serve hot.