how to output a design to get it fabricated ?

how to output a design to get it fabricated ?

PCB Editor->File->Fabrication Outputs->Gerbers

You ask about PCB itself or PCB assembled?
For PCB you need to generate gerbers and drill files and provide to PCB manufacturer some additional information (PCB thickness, soldermask color, …).
Paste layer gerbers are needed only if you need paste stencil.
To have PCB hand assembled a BOM will be helpful and a picture where each element should be placed at PCB.
To have PCB assmbled with automat the File->Fabrication Outputs->Component Placement files should also be generated.

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