A patient support device including a patient support board including of at least two board sections, wherein at least one of the at least two board sections may be pivoted with respect to another of the board sections around a pivot axis by a pivoting mechanism. The pivoting mechanism includes two ratchets that may be latched in mutually opposite directions of rotation around the pivot axis and at least one operator control device. At least one of the two ratchets may be moved from a latched state into an open state and/or vice versa by the at least one operator control device.