Whilst there are still a small number of land based casinos whose slot machines will pay you out your winnings up to a certain amount in coins, there are many more casinos who have now switched over to using a ticket system. As such when you click onto the cash out button on any type of gaming machine that has a ticket out system attached to it your winnings will then be paid out to you in the form of a ticket which can be used to carry on playing at another machine by inserting it into the note and ticket slot or you can turn that ticket into cash by inserting it into a ticket redemption machine of which there will be many on the gaming floor of the casino venue you ate playing at!