A long lens and short depth of field will give the same focus as in the sample photo. That would mean on a 35mm camera, a 75-300 zoom set around the 300 end and using the widest aperture, probably f4 or f5.6.
A dull day would provide the flat lighting and a tripod to keep the camera steady.
For a grainy film, you will need 400 speed or if you can get it 800. I would bracket the shot, which is shoot at what the light reading is, then - 1 stop and then -2 stops.
Since you have the aperture opened as wide as you can, then you will need to change the shutter speed.
So for example the correct light reading is 1/250 f5.6 then you shoot at that, then 1/500 f5.6 and then 1/1000 f5.6
Regarding the film I would avoid Fuji Xtra400 as it appears to give more saturated colours which you don't want.
Maybe others can give better advice on the film to use.