There's a used bookstore near me that has the oldest cash register I've ever seen. It has keys like a typewriter, and makes the most satisfying "ka-ching" sound when it opens. They always use it to add up your purchase and print a receipt, even when you're paying with a credit card. But I always try to bring cash when I'm there so that the drawer gets used. (And also, y'know, screw credit card companies taking their cut.)

I know that's not really "in widespread use" today, which is probably what the question meant, but that was the first thing that came to mind for me.